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NPI Code Detail

MEDICARE: RIDEN DAILEY

MEDICARE: RIDEN DAILEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care AgencyNV

General Provider Information

NPI Number : 1811831928
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIDEN DAILEY
Provider Business Mailing Address
First Line : 3650 MARY LOU ST
Second Line :
City : PAHRUMP
State : NV
Zip : 89061-7957
Country : US
Telephone Number : 949-354-9432
Fax Number :
Provider Business Practice Location Address
First Line : 1180 N TOWN CENTER DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-6308
Country : US
Telephone Number : 702-562-3322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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Directions to “ RIDEN DAILEY ” Practice Location

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